\u2018There was no suggestion of being silenced\u2019 We could be about to see a big upsurge in crack use \u2013 but are we ready for it? How seriously should we treat the reappearance of \u2018crack horror\u2019 warnings? In this month\u2019s cover story, Kevin Flemen suggests a pragmatic response. With so many different drugs in circulation and symptoms to look out for, we\u2019ve been developing our DDN \u2018Wider Health\u2019 series, beginning with a centre-pages pullout on alcohol. As Steve Brinksman points out in his latest Post-it, many patients present with health issues that are not obviously linked to drug or alcohol use. Our at-a-glance guide will help to understand conditions in which alcohol is a contributory factor and is designed with non-specialists in mind, to create better pathways across all branches of healthcare. Please pass it to colleagues where you can \u2013 the pdf is freely available on our website. We are very grateful for Alcohol Research UK for supporting us to develop this resource. In creating advice pages, let\u2019s not forget that most crucial part of the equation \u2013 service user involvement. When we started DDN nearly\u200814 years ago \u2018Nothing about us without us\u2019 was an essential theme. When Alan Joyce wrote his piece in 2006 (page 9) there was plenty to campaign for, but no suggestion of the patient voice being silenced. So Nick Goldstein\u2019s questions on page 8 about the health of service user involvement deserve our full attention. We may need to consider a different model, but the need for a clear and challenging voice has never been greater. Claire Brown, editor Read the latest issue as a\u00a0virtual magazine\u00a0or\u00a0download the PDF. Keep in touch at\u00a0www.drinkanddrugsnews.com\u00a0and\u00a0@DDNmagazine Your letters are very welcome \u2013 please email the editor. You can also comment at the foot of each article on our website.